不同时期的护理干预对妊娠期糖尿病孕妇分娩结局的影响

目的比较不同时期的护理干预对妊娠期糖尿病(GDM)孕妇血糖控制效果及妊娠结局的影响。方法以78例GDM孕产妇为研究对象,随机将其分为早期组(n=40)与晚期组(n=38)。早期组于孕周≤30周时即开始接受护理干预方案,晚期组在孕周>30周时开始接受护理干预方案。比较两组的血糖控制效果及妊娠结局。结果干预4周后,早期组的空腹血糖及餐后2 h血糖显著低于晚期组,差异具有统计学意义(P<0.05)。早期组的孕妇及新生儿并发症总发生率分别为25.0%与27.5%,均显著低于晚期组的50.0%和52.6%,差异具有统计学意义(P<0.05)。结论早期筛查、诊断及护理干预对提升GDM患者的血糖控制效果及分娩质量具有重要意义。

Effect of nursing intervention at different periods on delivery outcomes of pregnant women with gestational diabetes mellitus

Objective To compare the influences of nursing intervention at different periods on effect of blood glucose control and pregnancy outcomes of pregnant women with gestational diabetes mellitus(GDM). Methods A total of 78 cases of pregnant women with GDM were as the study objects and randomly divided into early group(n=40) and late group(n=38). The early group began to receive nursing intervention program at gestational weeks ≤30 weeks, and the late group began to receive nursing intervention program at gestational weeks >30 weeks. The effect of blood glucose control and pregnancy outcomes were compared between the two groups. Results After 4 weeks of intervention, fasting blood glucose and 2 h postprandial blood glucose in the early group were significantly lower than those in the late group, the differences were statistically significant(P<0.05). The total incidences of complications of pregnant women and newborns in the early group were 25.0% and 27.5%, respectively, which were significantly lower than 50.0% and 52.6% in the late group, the differences were statistically significant(P<0.05). Conclusion Early screening, diagnosis and nursing intervention are of great significance to improve the blood glucose control effect and delivery quality of GDM patients.